Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $9.60 / $9.60	Facility		$9.60	$9.60	$9.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $9.60 / $9.60	Professional		$9.60	$9.60	$9.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $13.00	Professional		$13.00	$13.00	$13.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $100.00	Professional		$40.00	$40.00	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $13.73 / $26.50	Facility		$9.60	$13.73	$26.50
United Facility/Professional Professional Modifier Low / Median / High Price $15.75 / $17.80 / $32.11	Professional		$15.75	$17.80	$32.11